MRS. THERESA NAOMI MACDOUGALL (CERTIFIED NURSE PRAC) – Nurse Practitioner, NPI 1588804686
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,473 NURSE PRACTITIONER in RI
Provider Addresses for MRS. THERESA NAOMI MACDOUGALL (CERTIFIED NURSE PRAC)
531 FAUNCE CORNER RD
DARTMOUTH, MA 027471242
Phone: (508) 996-3991
Type: Mailing
100 Kenyon Ave
Wakefield, RI 028794216
Phone: (401) 782-8000
Type: Location
3421, Concord Road, Spring Plains, Springettsbury Township, York County, Pennsylvania, 17402, United States
YORK, PA 174029001
Phone: (717) 851-1405
Fax: (717) 851-6969
Type: Mailing
WellSpan York Hospital, 1001, South George Street, Farquhar Estates, Spring Garden Township, York County, Pennsylvania, 17403, United States
YORK, PA 174033676
Phone: (717) 851-2450
Fax: (717) 851-3469
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($111).
Total Amount
$111
General + Research + Ownership
Payments
5
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $111 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090420000548 | I | Nurse Practitioner | PA | TBD |
| I20230131000241 | I | Nurse Practitioner | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 113 | 110 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 105 | 103 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 35 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 34 | 34 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
Insurance plans in this area (ZIP 02747)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NJ | |
| Emergency Medicine | RI | |
| Emergency Medicine | MA | |
| - | NH | |
| Emergency Medicine | PA | |
| Emergency Medicine | CT | |
| - | RI | |
| Emergency Medicine | IL | |
| - | FL | |
| - | RI |
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